Toxic stress associated with adverse childhood experiences during childhood can have catastrophic lifelong neurobiological, social, and emotional effects and has been shown to decrease life expectancy up to 20 years. ...

People with dementia experience a decline in mental ability that interferes with daily life. The behavioral and psychological symptoms of dementia affect the majority of individuals suffering from dementia and cause ...

Approximately 50% of antibiotics prescribed are not necessary, nevertheless in the United States among the many outpatient prescriptions, few are more widely prescribed than antibiotics. The inappropriate use of ...

Breastfeeding is a valuable infant feeding method that offers many preventative health benefits to mothers and infants. The American Academy of Pediatrics and the World Health Organization provide recommendations ...

Asthma affects more than 300 million people across the globe. The financial burden impacts individuals and their families as well as communities and health care systems. Although asthma education is a fundamental ...

Behavioral health issues affect between 15% to 20% of children, and if left untreated, these issues can lead to long-term mental and physical health issues in children and adolescents. The purpose of this quasi-experimental, ...

The Fontan repair is the final stage of surgical palliation for the pediatric patient with a single ventricle heart. The post-operative medical management of this patient population can be variable and hospital length ...

Overweight and obesity rates in the United States are reaching epidemic proportions and is a greater reality to rural communities. The purpose of this quasi-experimental, quality improvement project was to increase ...

African American women are consistently diagnosed at later stages of breast and cervical cancer than Caucasian women, leading to increased morbidity and mortality rates. Although the mammogram and Papanikolaou (Pap) ...

Cerebrovascular accidents (CVAs) continue to be one of the leading causes of disability and death throughout the United States (U.S.). While both men and women are at risk for CVAs, more women have CVAs each year than ...

Stroke is the fifth leading cause of death in the United States, and there are physical, economic, and emotional consequences for patients and their families. Finding effective ways to reduce risk factors and prevent ...

Obesity affects pathophysiology causing cardiac, respiratory, and metabolic disorders. In modern societies, bariatric weight-loss surgical procedures are escalating, as surgery has become a treatment method for obesity. ...

Heart failure is a complex syndrome affecting over 5.7 million Americans. The annual cost of heart failure in the United States is $31 billion with much of that occurring toward the end of life. Providers struggle with ...

Due to rising health care costs, limited access to primary care, and primary care provider shortages, new health care models need to be implemented to reduce costs, improve outcomes, increase access, and encourage more ...

Violent acts of patients and/or visitors in the healthcare setting are an increasing problem that threatens the physical safety and psychological well-being of primary care office staff members and providers, as well ...

According to the American Cancer Society, approximately 1.7 million new cancer cases were diagnosed in 2018. With a new diagnosis of cancer, patient education can be used to decrease anxiety about the diagnosis and ...

Nebraska became the 20th state to modernize regulations to allow for full practice authority for nurse practitioners. Legislative victories such as those evident in Nebraska are often lead by professional associations and are dependent on the level...

A stroke can have a devastating effect on a person’s health and life expectancy. Implementation of beneficial and relevant prevention strategies, such as reducing weight, increasing physical activity, and smoking ...

Stroke is the fifth leading cause of death in the United States with about 800,000 strokes per year and is a significant cause of adult disability. About 15% of all strokes are attributed to atrial fibrillation. Moderate ...

In the United States, African American women are at significant risk for cardiovascular disease, influenced by factors such as obesity, hypertension, sedentary lifestyle, and low socioeconomic status. This Doctor of ...